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C Massare

Publications and source records attributed to C Massare.

11 recordsLinked to original sources

[Tomodensitometry and spinal pathology].

The authors describe the possibilities and the limitations of the "scanner" in spinal pathology. Use of the third dimension and the certainty of absolute measurements, make this a very interesting method that can be applied to several areas of spinal pathology, especially traumatology and detection of primary and secondary tumors. It seems that this technique may be used in particular in the study of canal stenoses. There are future possibilities in view for segmentary densitometry, which gives better results than overall scintigraphy, especially in locating metastases. At present, studies are underway using contrast solution in order to study the possibilities of interpreting the content-container relationship.

Humans

[Postoperative sciatica from epidural fibrosis and lumbar arachnoiditis. Results of 38 repeat operations].

Lumbar epiduro-arachnoiditis is a well-known complication of surgery of the intervertebral disc. The epidural fibrous scar is the normal outcome of inflammatory activity secondary to the mechanical tissue disturbance resulting from surgery. In certain individuals, perhaps genetically predisposed as excessive quantity of fibrous tissue is deposited in the epi and/or nitradural space. This abnormal situation, comparable to cheloid cutaneous scars, is perhaps at the origin of the clinical symptoms. The authors report the clinical and radiological signs observed in 38 patients having had at least one operation for discal hernia, and who underwent further operations in the aim of freeing the roots and the dural sack from fibrous compression. Results of excision of the epidural "cheloid" were good in 13 cases, and average in 8 others. There was a complete failure in 17 other patients. Three explanations were offered to explain the frequency of the failures: 1) formation of a new cheloid, 2) difficulty of neurolysis of the arachnoiditis, 3) possibility of intrinsic lesions of the nerve associated with the epiduro-arachnoiditis.

Adult

[Xeroradiography : possibilities and value in osteo-articular pathology].

The authors report their first experiences with a new method of obtaining radiological information : radioxerography. Based on physical principles, replacing the older chemical basis, this new technique makes it possible to improve greatly, and with fewer exposures, the amount of information that can be obtained from radiological investigations. The advantages of the new method, based on the edge effect, the selectivity of the contours, and the spreading of the contrast, make possible much improved definition of both the bone structure and that of the neighbouring soft tissues. With reference to these first experiences, the authors summarize the possibilities and the preferred indications of the method, which although it remains a complementary and not a substitute method, appear very interesting and full of promise for the future.

Bone Diseases

[Lumbar discography (author's transl)].

Discography appears to be the only means to give radiological, strictly anatomical and clear visual data on the nucleus of a disc. It is a comparatively simple and technically easy technique as long as one has the right tools and personnel. While it is disagreeable for the patient, it is not dangerous if strict asepsis can be applied. Discography gives an uncomplicated and unequivocal interpretation with sufficiently precise discometric and sensory signs which enable us to identify the lesion reliably. Tolerance and harmlessness of the technique are by now established. The indications refer to disc pathology and are indispensable before any arthrodesis carried out for pain in the lumbar spine or spondylolisthesis. These indications are now being extended to all problems of reports or difficult diagnosis of vertebral pathology. Discography also has a special and essential place with sciatica, particularly when radiculography is negative.

Back Pain

[Gonalgia following meniscectomy. Arthrographic fingings. Review of 200 case records and radio-clinical comparison].

The authors have examined by arthrography two hundred knees which had remained painful after meniscectomy. In 170 cases this examination revealed a possible explanation for the pain; residual pathological posterior horn, lesion of the other meniscus, degenerative changes of the cartilages, lesions of the ligaments. 91 patients sustained a second surgical procedure. In 81 cases the arthrographic findings were confirmed, in 10 cases surgical exploration found more lesions than expected.

Female

[Arthrography].

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Hip Joint